Inspection on 30/05/07 for Park Lane Residential Home

This inspection was carried out on 30th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Park Lane Residential Home 04/06/08

Park Lane Residential Home 13/07/06

Park Lane Residential Home 11/08/05

Park Lane Residential Home 28/04/05

Park Lane Residential Home 17/11/04

Park Lane Residential Home 02/08/04

Park Lane Residential Home 01/03/04

Park Lane Residential Home 20/11/03

Park Lane Residential Home 09/01/03

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Park Lane Residential Home 7-9 Park Lane Congleton Cheshire CW12 3DN Lead Inspector Bronwyn Kelly Unannounced Inspection 30 May 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000040963.V333240.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000040963.V333240.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lane Residential Home Address 7-9 Park Lane Congleton Cheshire CW12 3DN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01260 290022 F/P 01260 290022 Winnie Care (Park Lane) Ltd Wendy Joan Gregory Care Home 42 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (18), Old age, not falling within any other of places category (42) DS0000040963.V333240.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 42 service users to include: Up to 42 service users in the category of OP (old age not falling within any other category Up to 18 service users in the category of DE(E) (dementia, over the age of 65 years) One named service user in the category of DE (dementia, over the age of 50 years). 13th July 2006 Date of last inspection Brief Description of the Service: Park Lane is a care home owned by Winnie Care [Park Lane] Ltd. It is close to Congleton town centre and is near to all community facilities and public transport. There are a small number of car parking spaces available at the home. Park Lane has been purpose built to provide care for up to 42 older people. The home is divided into five wings, one of which is designed to provide a more safe and secure area for those who have dementia. The building is threestorey with accommodation on the lower ground, ground and first floors. Six service users who are more able to care for themselves have rooms on the lower ground floor. Access between floors is via a passenger lift or the stairs. Accommodation consists of 38 single rooms, 36 of which have en-suite facilities and two twin bedrooms both with en-suites. There are 5 lounge/dining rooms available for people that live in the home to choose between. The main entrance to the home and a number of internal doors are opened by a keypad system. There is a seating area outside the entrance and several small patios around the home. There is an enclosed garden at the rear of the home. The current weekly fees range from £394.07 to £455.00. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing, private chiropody, holidays and taxi fares. Prospective residents are able to read the latest CSCI inspection report, which is normally available in a copy of the Service User Guide in the entrance hall. DS0000040963.V333240.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit by one inspector took place on the 30 May 2007 and lasted 7.00 hours. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live in the home, families and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit, various records and the premises were looked at. A number of people who live at the home and their relatives were also spoken with and they gave their views about the service, which have been included in the report. What the service does well: What has improved since the last inspection? Staff members are continuing with their NVQ training. More than 50 of the staff at the home now have an appropriate qualification so people who live there are being provided with care by staff who are have the necessary skills to provide good quality care. Some further redecoration has taken place to the home, and the manager has plans for further work to take place, providing a better environment for people that live in the home. Staff turnover remains low over the past year, which has provided continuity of care for the people that live in the home. DS0000040963.V333240.R01.S.doc Version 5.2 Page 6 The standard of care planning has improved over the past year, although further work is required to make sure that the people who live at the home have all their care needs met appropriately. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. DS0000040963.V333240.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000040963.V333240.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3. (Standard 6 does not apply, as intermediate care is not provided at the home.) 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before they move into the home. This ensures that each resident and their family know that these needs can be met when they move into Park Lane. EVIDENCE: The manager or deputy visit people who have expressed a wish to move into the home to carry out an assessment of their needs to ensure they can be met at Park Lane. Assessments from social services and/or medical professionals such as specialist doctors are also part of this process, to ensure that all the person’s needs can be met at the home. Records, discussion with people who live at the home and relatives showed that this was done well. Four care plans were seen and all contained assessments, which had been completed before the person moved into the home, which were signed and dated. DS0000040963.V333240.R01.S.doc Version 5.2 Page 9 These assessments were then used to start a plan of care for each new person moving into the home, so that staff had basic information to be able to meet their needs. The relative of one resident said “Good admission process. We came to look around – could bring in possessions”. She felt the whole process was handled well and they were given good information. DS0000040963.V333240.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home are well looked after, ensuring their health, social and personal care needs are met. EVIDENCE: The care plans for four people who live at the home were seen and each showed what staff need to do to meet the majority of their needs. The care plans were up to date, reviewed regularly and updated as needed. This ensured that people’s changing needs were always recorded in the plans of care so that staff are always aware of these. There was not much information in the files about each person’s lifestyle and past history, particularly for those people living in Chatsworth. This information would enable staff to have a greater understanding of each resident. Staff should become familiar with the use of life history techniques and have an understanding of the importance of person centred planning. DS0000040963.V333240.R01.S.doc Version 5.2 Page 11 This would ensure that people living in Chatsworth get support from staff who understand their care needs. All the files checked contained risk assessments, moving and handling information, information about contact with medical professionals such as doctors and nurses, nutritional records and a variety of other records to ensure the person’s wellbeing. There was evidence that staff work closely with health professionals and that the health needs of people who live in the home are well met. One GP wrote on a questionnaire “A well run home, good quality staff. I am confident that things will be done if I ask them to be done. Good at following up potential problems. Excellent care”. The local community nurse wrote, “Appears to be good communication between staff. Advice is sought and usually acted upon”. Senior staff in the home who give out medicines have attended a medication training course. The home has a medication policy and procedure document, which staff said they follow. The storage, returns and recording of medication were all in good order, ensuring that the people who live at the home receive their medicines safely and as prescribed. Medicine administration records seen were in good order. DS0000040963.V333240.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Opportunities for people who live in Park Lane to participate in social activities and have full choices about food and how they spend their day are limited. This means that some people are not able to make choices about aspects of their lives in the home. EVIDENCE: At present, there is no activity organiser employed in the home. The manager has advertised in the past, but without success. Meanwhile, the part-time deputy has just been allocated some extra hours to arrange some activities with the people that live in the home. Over the recent months, some entertainers have visited the home, and staff have arranged some in-house activities. However, there is no real structure or planning to this, or evidence that people who live in the home are involved in meaningful activities of their own choice. There is no real choice of how people can spend their day. One resident wrote in a questionnaire, “ I am not aware of any activities being arranged that I can participate in”. DS0000040963.V333240.R01.S.doc Version 5.2 Page 13 Observation on two occasions was carried out during the inspection in Chatsworth dementia care unit. On both occasions, only one member of staff was on duty with 18 residents, although other staff came in and left again, to do to specific tasks such as bringing a resident back to the lounge after a bath or bringing in the drinks trolley. Although this member of staff communicated well with the residents and sat down and spoke with different people, there was no meaningful activity going on for any of the residents during the whole visit. The only stimulation was the TV or music being played through the TV, and this was played without discussion with the residents. Staff were asked if they actually take residents into the garden on a regular basis, or at least ask them if they wish to go for a walk in the garden. Staff replied that although in an ideal world, this is what they would do; in practice it is very difficult, as extra staff are needed for this. There have been good comments received about the food in the home, and residents are served a balanced menu with a variety of ingredients. Cooked breakfasts are available and there is a choice at teatime. However, there is no real choice at lunchtime except for dish of the day. The cook does prepare something different for those she knows about who do not like a particular food, and staff say residents can have an alternative if they wish. However, as the menus are not displayed, residents do not know what is on offer until it is served. Therefore the possibility of having a cooked alternative is limited due to time factors. There would be advantages for residents to have a choice of menu at lunchtime, particularly for residents in Chatsworth who could be shown two plates of different food and make a choice. One relative wrote on a questionnaire “The rooms are kept clean and the food is prepared and served freshly cooked in a pleasant dining room” DS0000040963.V333240.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for protecting residents from abuse are satisfactory so residents are not at risk from harm or poor practice EVIDENCE: The complaints procedure is available in the service user’s guide, a copy of which is in the hall and information regarding how to contact the CSCI is displayed. A number of people who live at the home said that they would have no problem bringing any concerns to the attention of the manager or the staff. This view was supported by relatives, who also said staff act quickly to put things right. One relative said, “Things get done if asked” and another commented “I am happy to talk with the staff if there are any problems. A person who lives at the home said, “If I have any concerns, I speak to the manager and it gets sorted” This would indicate that some complaints/concerns are brought to the attention of the staff. However, the complaints book was completely empty and the information sent to CSCI by the manager before the inspection visit took place indicated that there had not been any complaints. The manager said she has not been recording concerns. The importance of keeping records, particularly for her to review over a period of time, was discussed. DS0000040963.V333240.R01.S.doc Version 5.2 Page 15 CSCI has not received any complaints about the home since the last inspection. One referral has been made under Safeguarding Adults, and this was dealt with appropriately by the manager. Policies and procedures for safeguarding people who live in the home are in place. Care staff received training on awareness of adult abuse in 2006. DS0000040963.V333240.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The lack of maintenance in some areas of the home and the poor layout of Chatsworth unit means that some residents are living in an environment that does not meet all their needs. EVIDENCE: Chatsworth unit is a specialist part of the home where people receive dementia care. This is an enclosed unit, with a keypad control on the door, where residents spend most of the day. The design of the unit within the home is not ideal, and does not enable best practice care. There are only 5 bedrooms in this unit – the rest are on another floor reached through locked doors and a lift. This means that people in Chatsworth unit cannot freely choose to use their bedrooms in the day without having to ask staff to let them through locked doors. As this unit is on the first floor, access to the garden is also difficult – down a steep flight of external concrete stairs or the lift, and DS0000040963.V333240.R01.S.doc Version 5.2 Page 17 residents have to be accompanied by a member of staff. This unit only has one lounge for up to 18 residents. The television or music was playing all day during the inspection. There was no other small lounge where people could go for some peace and quiet, and be away from the large group. Those people with bedrooms nearby could use those, but as mentioned earlier, the other 13 people have their bedrooms in another part of the home behind locked doors. Gawsworth unit contained a number of bedrooms, lounges and dining areas. Bedrooms seen were satisfactory, and contained a number of residents’ own possessions. All except two bedrooms had ensuite facilities. In one ensuite bathroom, the cord bell had been removed, the light bulb was not working and no one had noticed. A number of the communal toilets did not have a lock of any sort, making privacy difficult for residents. The lower ground floor contained six bedrooms. The hairdressing room is also on this floor, and the kitchen storage room/pantry. This means that the cook has to travel a considerable distance, using the lift, to obtain cooking ingredients and access the freezers and fridges. Communal areas of the home were clean and in satisfactory order. Some areas of the home were in need of redecoration, but the manager is aware of this. The furniture in the communal lounges was quite institutional in style – upright, tall plastic chairs, without much choice of design for residents to sit in. One consistent concern from visitors to the home was the lack of sufficient car parking facilities. One relative commented “The home is always clean – never in a mess” DS0000040963.V333240.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An improvement to the dementia care training for staff would mean that some people who live at the home would experience a better quality of life. EVIDENCE: People who live at the home gave many examples of how well they regard the staff group, and were very complimentary about the care they receive. Some comments received from relatives include, “If I ask the staff to do anything, it is always done. Good communication”. Another relative said, “Staff are fabulous. They always telephone me with any problems with my mum”. To date, 61 of staff have achieved minimum NVQ level 2, which ensures residents receive general care from a well trained staff group. Training for staff in working with people who have dementia has been carried out in-house and could be improved with some specialist training from a recognised source. This would ensure that people who live in Park Lane who have dementia are receiving good quality care by staff that have an understanding of personcentred care. Some staff spoken with could not remember if they had received training, and the training records were not up to date to check this. The care staff on duty are deployed each day to various parts of the home according to the needs of the people who live at the home, which can vary. DS0000040963.V333240.R01.S.doc Version 5.2 Page 19 Staff rotas showed that many staff undertake 12-hour shifts from 8.00am to 8.00pm, which is not an ideal situation. The manager said this was the staff preference. There are six care staff in the mornings, then five in the afternoon and evening until the 3 night staff come on duty at 8.00pm. This is quite early in the evening for a home of 42 residents, including 18 people who have dementia, to be cared for by three members of staff. Many of the people who live at the home went to bed early, but it was difficult to ascertain if this was from their choice or custom and practice to fit in with staff rotas. Recruitment procedures are good with proper checks being made, ensuring that that the people who live in the home are protected from possible harm. DS0000040963.V333240.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some of the management functions could be improved and opportunities given to the people that live in the home to express their views on their care. This would ensure better outcomes for people that live in the home. EVIDENCE: The manager is qualified and experienced, and discussions and observations with people in the home and visitors showed that she communicates well and is approachable. The previous inspection required that a quality assurance system be put into place to ensure the views of the people that live in the home are heard. There is still no formal method for the people who live there, relatives and DS0000040963.V333240.R01.S.doc Version 5.2 Page 21 professionals to express their views about the care given at Park Lane. Consideration must be given to ways of obtaining the views of the residents and promoting their choice over things that directly affect them while living at Park Lane. The manager said she prefers to communicate with people who live in the home on a one-to-one basis. This is not an effective monitoring process to ensure good outcomes for people who live in the home or to seek formal views on how the service can be improved. Nothing is recorded following her discussions with people who live in the home. The manager must improve the systems for monitoring practice and compliance with the policies and procedures of the home. This has already started by more team meetings being held, but staff supervision has still not started for many of the staff. The manager is aware of the need to improve this area of management. It was not possible to easily check if staff were up to date with training, particularly in health and safety matters. The manager and area manager agreed that some of the training records were not up to date. This means that the manager cannot check which staff require an update in mandatory training such as moving and handling and fire safety training. Development of staff in relation to working with people who have dementia must be improved. There was no real evidence that staff and management at the home have an understanding of person-centred care and how this applies to caring for people with dementia. Staff do not handle any of the personal allowances of the people that live in the home. If people require any money, they are given some from the home’s petty cash, then families are sent an invoice three monthly. Records for these expenses were in good order, with receipts for purchases. DS0000040963.V333240.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 2 X 3 2 X 3 DS0000040963.V333240.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 12, 18 Requirement Staff, including night staff, must receive training specific to the service user group they support. The above is an unmet requirement from the previous inspection of 13/07/06 for which the timescale of 01/12/06 was not met. 18(1)(c) (1) Staff who work with people who have dementia must receive specialist training to ensure that people who live in the home are being supported in the most appropriate way. A method of obtaining the views of residents, staff, relatives and professionals on the running of Park Lane must be devised. The above is an unmet requirement from the previous inspection of 13/07/06 from which the timescale of 01/12/06 was not met. A system must be in place to DS0000040963.V333240.R01.S.doc Version 5.2 Page 24 Timescale for action 30/09/07 2. OP33 24 24(1)(2)& (3) review the quality of care that is provided to the people living in Park Lane and a copy of any subsequent report made available. 30/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations Further information should be gained about each resident’s past history, lifestyle, likes and dislikes from relatives and friends to build a ‘life-story’. This will enable staff to work with residents in a person-centred way, particularly in Chatsworth unit. People who live in the home should be consulted about a range of activities within the home and the local community so that they are able to enjoy a full and stimulating lifestyle. People who live in the home should be able to have access to a menu so they are aware of the choices available before mealtimes and make a choice about their main meal of the day. All complaints and concerns and any subsequent investigation should be recorded. This is so that checks can be made that any concerns of people who live in the home or their relatives are acted upon. Regular checks should be made regarding failed light bulbs and call bell cords so that people life in a safe environment. All toilet and bathroom doors should have locks (that can be overridden from the outside) enabling people who live in the home to have privacy and dignity. Consideration should be given to the internal layout of the home so that people living in Chatsworth have easier access to their bedrooms and the garden. Consideration should also be made to the position of the larder/pantry so that the cook has easier access to this storage area. All staff should receive regular supervision to ensure that staff are trained and developed and are competent to care for the people that live in the home. Staff training records DS0000040963.V333240.R01.S.doc Version 5.2 Page 25 2 OP12 3 OP15 5. OP16 6. 7. 8. OP19 OP19 OP19 9. OP36 should be up to date to assist this process. DS0000040963.V333240.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000040963.V333240.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!